CAJ | 학술논문

目的：观察X-tube下行MIS-TLIF内固定治疗单节段腰间椎盘突出症的临床效果。方法2012年3月~2013年6月对我院22例单节段腰椎间盘突出症患者予X-tube下行MIS-TLIF内固定治疗。结果本组患者的手术时间为80~140 min，平均112 min，术中出血量60~150 mL，平均94.8 mL；住院时间4~8 d，平均6 d。所有患者随访3~12个月。 ODI评分：术前(79.6±9.5)分，术后末次随访(10.9±4.0)分，与术前比较，差异具有统计学意义(t=31.19，P<0.01)；VAS评分：术前(7.0±1.3)分，术后末次随访(1.1±0.6)分，与术前比较，差异具有统计学意义(t=19.78，P<0.01)。末次随访时采用改良Macnab标准评价临床效果：优16例，良4例，中2例。优良率90.9%。结论 X-tube下行MIS-TLIF内固定治疗单节段腰椎间盘突出症能够满足神经根减压、植骨融合固定的要求，该术式是一种创伤小、出血少、恢复快、操作安全、疗效确切的手术方法。
목적：관찰X-tube하행MIS-TLIF내고정치료단절단요간추반돌출증적림상효과。방법2012년3월~2013년6월대아원22례단절단요추간반돌출증환자여X-tube하행MIS-TLIF내고정치료。결과본조환자적수술시간위80~140 min，평균112 min，술중출혈량60~150 mL，평균94.8 mL；주원시간4~8 d，평균6 d。소유환자수방3~12개월。 ODI평분：술전(79.6±9.5)분，술후말차수방(10.9±4.0)분，여술전비교，차이구유통계학의의(t=31.19，P<0.01)；VAS평분：술전(7.0±1.3)분，술후말차수방(1.1±0.6)분，여술전비교，차이구유통계학의의(t=19.78，P<0.01)。말차수방시채용개량Macnab표준평개림상효과：우16례，량4례，중2례。우량솔90.9%。결론 X-tube하행MIS-TLIF내고정치료단절단요추간반돌출증능구만족신경근감압、식골융합고정적요구，해술식시일충창상소、출혈소、회복쾌、조작안전、료효학절적수술방법。
Objective To observe the clinical effect of MIS-TLIF internal fixation for single-level lumbar disc hernia-tion under X-tube system. Methods Twenty-two cases of patients in our hospital with single-level lumbar disc hernia-tion were treated by MIS-TLIF internal fixation under X-tube system from March 2012 to June 2013. Results The mean operation time was 112 minutes(from 80 to 140 minutes).The mean intraoperative blood loss was 94.8 mL (from 60 mL to 150 mL). Length of hospitalization time was from 4 to 8 days, with the mean time was six days. All the pa-tients were followed up for 3-12 months. ODI scores (79.6±9.5) points preoperatively, and (10.9±4.0) at the last follow-up time postoperatively which indicated statistically significant difference(t=31.19,P<0.01);VAS scores(7.0±1.3) points preoperatively, and (1.1±0.6) at the last follow-up time postoperatively, which also showed statistically significant difference(t=19.78,P<0.01). The results were excellent in 16 cases,good in 4,fair in 2 elevated by Macnab scale at the last follow-up. The excellent-to-good rate was 90.9%. Conclusion The MIS-TLIF treatment under X-tube system can complete nerve roots decompression, fixation and fusion successfully in single-level lumbar disc hernia-tion, which have so many advantages of lower operating damage, less blood loss, faster recovery, safety, and excel-lent clinical results.